| Entity Name: | CENTER FOR ADDICTION AND MENTAL HEALTH PROGRAMS ORLANDO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Nov 2023 (a year ago) |
| Document Number: | L23000518737 |
| FEI/EIN Number | 99-1417867 |
| Address: | 4201 SOUTH ORANGE BLOSSOM TRAIL, ORLANDO, FL 32839 |
| Mail Address: | 4201 SOUTH ORANGE BLOSSOM TRAIL, ORLANDO, FL 32839 |
| ZIP code: | 32839 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275374803 | 2024-06-06 | 2024-06-06 | 4201 S ORANGE BLOSSOM TRL STE 101, ORLANDO, FL, 328391238, US | 4201 S ORANGE BLOSSOM TRL STE 101, ORLANDO, FL, 328391238, US | |||||||||||||||||||||
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| Phone | +1 561-332-5026 |
Authorized person
| Name | ALEXIS ALTIER |
| Role | MGR |
| Phone | 5613325026 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FULTZ, GERALD W | Agent | 3691 STATE ROAD 580 W, SUITE H, OLDSMAR, FL 34667 |
| Name | Role | Address |
|---|---|---|
| Altier, Alexis | Authorized Representative | 4201 SOUTH ORANGE BLOSSOM TRAIL, ORLANDO, FL 32839 |
| Name | Role | Address |
|---|---|---|
| Brady, Deena | Manager | 4201 SOUTH ORANGE BLOSSOM TRAIL, ORLANDO, FL 32839 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000130343 | CAMP ORANGE | ACTIVE | 2024-10-23 | 2029-12-31 | No data | 4201 SOUTH ORANGE BLOSSOM TRAIL, ORLANDO, FL, 32839 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-23 |
| AMENDED ANNUAL REPORT | 2024-05-15 |
| AMENDED ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2024-03-08 |
| Florida Limited Liability | 2023-11-16 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
